Provider Demographics
NPI:1386752871
Name:ELLEN RADO DDS PC ART OF DENTAL CARE
Entity type:Organization
Organization Name:ELLEN RADO DDS PC ART OF DENTAL CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ELLEN
Authorized Official - Middle Name:
Authorized Official - Last Name:RADO
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:732-424-8483
Mailing Address - Street 1:314 US HWY 22 WEST
Mailing Address - Street 2:SUITE D
Mailing Address - City:GREEN BROOK
Mailing Address - State:NJ
Mailing Address - Zip Code:08876
Mailing Address - Country:US
Mailing Address - Phone:732-424-8483
Mailing Address - Fax:732-424-3716
Practice Address - Street 1:314 US HWY 22 WEST
Practice Address - Street 2:SUITE D
Practice Address - City:GREEN BROOK
Practice Address - State:NJ
Practice Address - Zip Code:08876
Practice Address - Country:US
Practice Address - Phone:732-424-8483
Practice Address - Fax:732-424-3716
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-26
Last Update Date:2008-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJDI 188331223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty